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ATI PN Pediatric Proctored Newest Exam Preparation With
Complete Questions And Correct Answers With Rationales
Already Graded A+ Brand New Version!!
Question 1
A nurse is caring for a 4-year-old child who is hospitalized for
dehydration. Which assessment finding should the nurse identify as the
earliest indication of worsening dehydration?
A) Decreased urine output
B) Tachycardia
C) Dry mucous membranes
D) Sunken fontanels
Answer: B) Tachycardia
Explanation: Tachycardia is often one of the earliest physiologic
responses to decreased intravascular volume in children. As dehydration
progresses, the body attempts to maintain cardiac output by increasing
heart rate. Decreased urine output, dry mucous membranes, and
sunken fontanels are also signs of dehydration but typically manifest
after tachycardia has been established.
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Question 2
The nurse is preparing to administer digoxin to a 2-year-old child with
heart failure. Prior to administration, the nurse assesses the apical
pulse for one full minute. Which pulse rate would indicate the need to
withhold the medication?
A) 90 beats per minute
B) 100 beats per minute
C) 110 beats per minute
D) 80 beats per minute
Answer: D) 80 beats per minute
Explanation: For a 2-year-old child, the normal resting heart rate ranges
from 90 to 150 beats per minute. Digoxin should be withheld if the
apical pulse is below 90 beats per minute in an infant or young child,
and the prescribing provider should be notified. Option D is correct
because 80 is below the acceptable threshold, indicating potential
toxicity or bradycardia risk.
Question 3
A nurse is assessing a 6-month-old infant who presents with failure to
thrive. Which finding is most consistent with this diagnosis?
A) Weight below the 5th percentile on growth chart
B) Head circumference above the 90th percentile
C) Height at the 50th percentile
D) Weight gain of 30 grams per day
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Answer: A) Weight below the 5th percentile on growth chart
Explanation: Failure to thrive is commonly defined as weight that falls
below the 5th percentile on standardized growth charts or a significant
downward crossing of two major percentiles. Head circumference and
height may be affected later, but weight is the primary parameter
affected early. Weight gain of 30 grams per day is adequate for an
infant and would not suggest failure to thrive.
Question 4
The nurse is educating parents of a child with newly diagnosed type 1
diabetes mellitus. Which statement by the parent indicates a need for
further teaching?
A) "I will give insulin injections at the same time each day."
B) "I need to check blood glucose levels before meals."
C) "I will administer insulin even if my child is not eating well."
D) "I should rotate injection sites to prevent lipodystrophy."
Answer: C) "I will administer insulin even if my child is not eating well."
Explanation: Insulin administration should be correlated with food
intake to prevent hypoglycemia. If the child is not eating well, the
insulin dose may need to be adjusted or withheld until the child
consumes adequate carbohydrates. The other statements reflect correct
understanding of diabetes management.
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Question 5
A 10-year-old child is admitted with acute glomerulonephritis. Which
assessment finding is most concerning and requires immediate
intervention?
A) Periorbital edema
B) Blood pressure of 145/90 mmHg
C) Urine output of 20 mL over 4 hours
D) Gross hematuria
Answer: C) Urine output of 20 mL over 4 hours
Explanation: Acute glomerulonephritis can lead to renal insufficiency. A
urine output of less than 1 mL/kg/hour in a child is concerning for acute
kidney injury. The urine output described is significantly below normal.
While periorbital edema, hypertension, and hematuria are expected
findings, oliguria indicates worsening renal function and requires
prompt intervention.
Question 6
A nurse is caring for a child who is post-operative following a
tonsillectomy. Which assessment finding should the nurse report to the
healthcare provider immediately?
A) Complaints of throat pain rated 6 on a scale of 1 to 10
B) Frequent swallowing and clearing of the throat
C) Small amount of blood-tinged mucus in the mouth
D) Refusal to drink clear liquids
ATI PN Pediatric Proctored Newest Exam Preparation With
Complete Questions And Correct Answers With Rationales
Already Graded A+ Brand New Version!!
Question 1
A nurse is caring for a 4-year-old child who is hospitalized for
dehydration. Which assessment finding should the nurse identify as the
earliest indication of worsening dehydration?
A) Decreased urine output
B) Tachycardia
C) Dry mucous membranes
D) Sunken fontanels
Answer: B) Tachycardia
Explanation: Tachycardia is often one of the earliest physiologic
responses to decreased intravascular volume in children. As dehydration
progresses, the body attempts to maintain cardiac output by increasing
heart rate. Decreased urine output, dry mucous membranes, and
sunken fontanels are also signs of dehydration but typically manifest
after tachycardia has been established.
,2|Page
Question 2
The nurse is preparing to administer digoxin to a 2-year-old child with
heart failure. Prior to administration, the nurse assesses the apical
pulse for one full minute. Which pulse rate would indicate the need to
withhold the medication?
A) 90 beats per minute
B) 100 beats per minute
C) 110 beats per minute
D) 80 beats per minute
Answer: D) 80 beats per minute
Explanation: For a 2-year-old child, the normal resting heart rate ranges
from 90 to 150 beats per minute. Digoxin should be withheld if the
apical pulse is below 90 beats per minute in an infant or young child,
and the prescribing provider should be notified. Option D is correct
because 80 is below the acceptable threshold, indicating potential
toxicity or bradycardia risk.
Question 3
A nurse is assessing a 6-month-old infant who presents with failure to
thrive. Which finding is most consistent with this diagnosis?
A) Weight below the 5th percentile on growth chart
B) Head circumference above the 90th percentile
C) Height at the 50th percentile
D) Weight gain of 30 grams per day
,3|Page
Answer: A) Weight below the 5th percentile on growth chart
Explanation: Failure to thrive is commonly defined as weight that falls
below the 5th percentile on standardized growth charts or a significant
downward crossing of two major percentiles. Head circumference and
height may be affected later, but weight is the primary parameter
affected early. Weight gain of 30 grams per day is adequate for an
infant and would not suggest failure to thrive.
Question 4
The nurse is educating parents of a child with newly diagnosed type 1
diabetes mellitus. Which statement by the parent indicates a need for
further teaching?
A) "I will give insulin injections at the same time each day."
B) "I need to check blood glucose levels before meals."
C) "I will administer insulin even if my child is not eating well."
D) "I should rotate injection sites to prevent lipodystrophy."
Answer: C) "I will administer insulin even if my child is not eating well."
Explanation: Insulin administration should be correlated with food
intake to prevent hypoglycemia. If the child is not eating well, the
insulin dose may need to be adjusted or withheld until the child
consumes adequate carbohydrates. The other statements reflect correct
understanding of diabetes management.
, 4|Page
Question 5
A 10-year-old child is admitted with acute glomerulonephritis. Which
assessment finding is most concerning and requires immediate
intervention?
A) Periorbital edema
B) Blood pressure of 145/90 mmHg
C) Urine output of 20 mL over 4 hours
D) Gross hematuria
Answer: C) Urine output of 20 mL over 4 hours
Explanation: Acute glomerulonephritis can lead to renal insufficiency. A
urine output of less than 1 mL/kg/hour in a child is concerning for acute
kidney injury. The urine output described is significantly below normal.
While periorbital edema, hypertension, and hematuria are expected
findings, oliguria indicates worsening renal function and requires
prompt intervention.
Question 6
A nurse is caring for a child who is post-operative following a
tonsillectomy. Which assessment finding should the nurse report to the
healthcare provider immediately?
A) Complaints of throat pain rated 6 on a scale of 1 to 10
B) Frequent swallowing and clearing of the throat
C) Small amount of blood-tinged mucus in the mouth
D) Refusal to drink clear liquids
